St. John Fisher College Campus Security Authority Crime Report According to the Higher Education Act, or Clery Act, St. John Fisher College must collect certain campus crime statistics. This law applies to certain crimes reported to the police and other campus officials. The details of this report will not be made public. Only the number of crimes occurring will be released. Your name will not be released. It is not required for the report, but it will help ensure the crime is not counted twice. Date of incident: Time of occurrence: Location of incident: Please give building name, parking lot, or nearby buildings if it occurred outside. Use a SJFC campus map and circle location if necessary. Crime reported: Murder Burglary Forcible sex offense Liquor Law Violation Hate Crime? Yes No Simple Assault Larceny Based On: Race Gender Manslaughter Motor vehicle theft Non-forcible sex offense Drug Law Violation Intimidation Religion Weapon Law Violation Vandalism (These crimes only apply to hate crime reporting) Sexual Orientation Disciplinary referral reported: Liquor Violation Robbery Aggravated assault Arson Drug Violation Ethnicity Disability Weapon Violation To whom disciplinary action was referred? Head Count for Liquor/Drug/Weapon Violations: Location Classification: On-Campus Residence Hall Non-Campus Public Property The incident has been reported to: None SJFC Safety and Security Department Please give a brief description of the crime to help us classify it (use additional pages if necessary): Reporting Department: Date: Name of Official submitting this form: Phone #: E-mail: Please submit this form to David DiCaro, Director of Safety and Security and keep a copy for your records. If you have questions about classifying a crime or a location, contact David DiCaro at (585) 385-7315, or via email at ddicaro@sjfc.edu.